Organization Active NPI

Marylouise Blond SLP-PC

  • Speech-Language Pathologist
  • Syosset, NY
National Provider Identifier
1164718243
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
004222-1 Issued in NY
Legal business name
MARYLOUISE BLOND SLP-PC
Practice address
30 Martin PL
Syosset, NY 11791-6714
Phone
(516) 937-0475
Fax
(516) 937-0475
NPI assigned
Jun 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Marylouise Ann Blond, M.S. CCC-SLP
Title
President
Phone
(516) 937-0475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 004222-1 NY Primary

Addresses

Primary practice location

30 Martin PL
Syosset, NY 11791-6714

Mailing address

30 Martin PL
Syosset, NY 11791-6714
Phone (516) 937-0475

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1164718243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MARTIN PL",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117916714",
            "telephone_number": "516-937-0475",
            "fax_number": "516-937-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MARTIN PL",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117916714",
            "telephone_number": "516-937-0475",
            "fax_number": "516-937-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLOUISE BLOND SLP-PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "BLOND",
        "authorized_official_first_name": "MARYLOUISE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-937-0475",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "004222-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.